black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEITH ALLEN

PRODUCER NON-RESIDENT

License Number:
PRN373137
Status:
First Licensure:
01/19/2021
Cancel Date:
None

Mailing:
AKRON, OH 44319
Phone:
+1 (857) 972-0814
Email:
keith.allen@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/19/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
08/08/2024 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
04/23/2024 PCF120263
HOMESITE INSURANCE COMPANY OF THE MIDWEST
02/01/2021 PCF116371
JEWELERS MUTUAL INSURANCE COMPANY, SI
02/28/2025 PCF773
MIDVALE INDEMNITY COMPANY
04/23/2024 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 01/19/2021 Active
PROPERTY 01/19/2021 Active

Responsible For

Name License Number
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC AGN121078

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9052956

Other Addresses

Address Type
75 EXECUTIVE PKWY
HUDSON, OH 44237-0001
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/24/2025 04:49:06 AM